healthcosts.net

MEDICAL CITY LEWISVILLE HOSPITAL

1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

Published prices by procedure

Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.

Procedure Cash price Gross charge Negotiated range Payers
Lutetium lu 177 dotatat ther HCPCS A9513 not published not published $529.27 – $1,882.65 3
Lutetium lu 177 vipivotide HCPCS A9607 not published not published $427.88 – $1,533.08 3
Lvad shower bag heartmate HCPCS Q0501 not published not published $613.25 – $1,656.42 27
Lw ntsty Ultrasound stimj bone healg CPT 20979 not published not published $28.51 – $130.41 3
Lwr ext dynamic prosth pylon HCPCS L5985 not published not published $339.05 – $915.79 27
Lyme dis dna dir probe CPT 87475 not published not published $12.03 – $76.17 33
Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 not published not published $915.67 – $5,023.11 2
Lymphatics/lymph node imaging CPT 78195 $6,815.48 $6,815.48 $324.84 – $470.94 11
Lymphocyte culture mixed CPT 86821 not published not published $21.94 – $139.46 33
Lymphocyte transformation mitogen CPT 86353 not published not published $29.42 – $187.23 33
Lymphocytotoxicity assay CPT 86805 not published not published $113.71 – $721.82 33
Lymphocytotoxicity assay CPT 86806 not published not published $28.55 – $180.78 33
Lymph vessel x-ray arm/leg CPT 75801 not published not published $280.38 – $898.61 12
Lymph vessel x-ray arms/legs CPT 75803 not published not published $295.11 – $2,338.48 12
Lymph vessel x-ray trunk CPT 75805 not published not published $308.69 – $4,760.60 12
Lymph vessel x-ray trunk CPT 75807 not published not published $144.34 – $4,760.60 12
Lysis intranasal synechia 30560 CPT 30560 not published not published $184.41 – $547.73 11
Lysis of labial adhesions CPT 56441 not published not published $1,047.57 – $3,268.14 11
Lysis penil circumic lesion CPT 54162 not published not published $643.01 – $2,196.72 11
Lyumjev for insulin pump use HCPCS J1813 not published not published $14.87 – $92.40 4
Macro exam dissect molec study ea CPT 88387 not published not published $8.03 – $51.20 5
Macroscopic exam arthropod CPT 87168 not published not published $2.56 – $16.81 33
Macroscopic exam parasite CPT 87169 not published not published $2.59 – $16.81 33
Magnesium CPT 83735 not published not published $4.02 – $25.83 33
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 not published not published $0.24 – $3.03 4
Magnetic image bone marrow CPT 77084 not published not published $229.97 – $761.00 11
Makena, 10 mg HCPCS J1726 $8,763.70 $8,763.70 $262.47 – $262.47 1
Malaria antibody CPT 86750 not published not published $7.91 – $50.38 33
Male sling procedure CPT 53440 not published not published $7,468.49 – $13,319.85 11
Management of liver hemorrhage 47361 CPT 47361 not published not published $3,932.59 – $21,553.45 2
Manipulate finger w/anesth CPT 26340 not published not published $584.14 – $1,680.68 11
Manipulate wrist w/anesthes CPT 25259 not published not published $584.14 – $1,680.68 11
Manipulation chest wall demonstration/evaluation subsequent CPT 94668 not published not published $219.12 – $257.31 2
Manipulation chest wall initial demonstration/evaluation CPT 94667 not published not published $182.85 – $257.31 2
Manipulation of hip joint CPT 27275 not published not published $584.14 – $1,680.68 11
Manipulation of spine CPT 22505 not published not published $584.14 – $1,680.68 11
Manipulat palm cord post inj CPT 26341 not published not published $65.72 – $249.03 11
Mannitol 12.5 gm/50 ml inj HCPCS J2150 $39.10 $39.10 $2.19 – $13.55 3
Mannitol for inhaler HCPCS J7665 not published not published $1.95 – $40.60 4
Man's shoe oxford brace HCPCS L3225 not published not published $76.84 – $207.56 27
Manual diff wbc count b-coat CPT 85009 not published not published $3.04 – $19.37 33
Mapping functional cort/subcort ea add'l hr CPT 95962 not published not published $213.49 – $608.35 2
Map tachycard site(s) CPT 93609 $11,960.50 $11,960.50 $688.93 – $688.93 1
Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 not published not published $47.07 – $305.27 4
Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 not published not published $1.24 – $2,069.10 2
Marsupialization liver lesion 47300 CPT 47300 not published not published $1,465.78 – $8,039.40 2
Mask full face lg af531 HCPCS A7030 not published not published $106.36 – $287.28 27
Mastectomy form HCPCS L8020 not published not published $269.80 – $728.73 27
Mastectomy partial CPT 19301 not published not published $949.21 – $3,952.94 11
Mast mod rad CPT 19307 not published not published $6,494.24 – $6,703.78 2
Mastoidectomy CPT 69501 not published not published $1,924.91 – $6,014.66 11
Mastoidectomy complete 69502 CPT 69502 not published not published $1,924.91 – $6,014.66 11
Mastoids complete CPT 70130 not published not published $61.22 – $179.21 12
Mastoid surgery revision CPT 69603 not published not published $1,924.91 – $6,014.66 11
Mastopexy CPT 19316 not published not published $1,817.53 – $6,703.78 11
Mast radical CPT 19305 not published not published $1,462.65 – $1,462.65 1
Mast rad urban type CPT 19306 not published not published $1,549.80 – $1,549.80 1
Mast simple complete CPT 19303 not published not published $1,817.53 – $6,703.78 11
Matrion 1 sq cm HCPCS Q4201 $3,009.00 $3,009.00 $7.52 – $479.42 4
Matrix bone cryomatrix 2.0ml HCPCS Q4162 not published not published $4,235.01 – $11,315.37 2
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 not published not published $20.86 – $209.78 3
M.avium-intra dna amp prob CPT 87561 not published not published $21.05 – $134.29 33
M.avium-intra dna dir prob CPT 87560 not published not published $16.37 – $104.61 33
M.avium-intra dna quant CPT 87562 not published not published $25.70 – $162.69 33
Maxillofacial fixation CPT 21100 not published not published $1,924.91 – $6,014.66 11
Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 $1,055.56 $1,055.56 $8.68 – $55.51 33
Mayo aathr protein s free CPT 85306 $1,632.55 $1,632.55 $9.19 – $58.12 33
Mayo activated protein c resistance assay CPT 85307 $1,178.97 $1,178.97 $9.19 – $58.12 33
Mayo adalimumab (humira) therapeutic drug level CPT 80145 not published not published $23.14 – $147.20 33
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 $1,619.23 $1,619.23 $0.02 – $14.14 10
Mayo alcohol definitive assay volatile screen CPT 80320 not published not published $0.02 – $91.69 11
Mayo alkaline phosphatase isoenzyme CPT 84080 $1,239.02 $1,239.02 $8.87 – $56.80 33
Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 $942.18 $942.18 $0.02 – $91.69 11
Mayo alpha 1 antitrypsin CPT 82103 $937.17 $937.17 $8.06 – $51.66 33
Mayo amikacin trough therapeutic drug level CPT 80150 $550.30 $550.30 $9.05 – $58.12 33
Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 not published not published $0.02 – $13.65 10
Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 not published not published $0.02 – $91.69 11
Mayo analysis gene calr common variants exon 9 CPT 81219 not published not published $72.98 – $463.55 33
Mayo analysis gene jak2 p.val617phe variant CPT 81270 not published not published $55.00 – $348.64 33
Mayo analysis gene smn1 dosage/deletion CPT 81329 not published not published $82.20 – $521.67 33
Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 $3,543.60 $3,543.60 $696.00 – $4,419.96 33
Mayo androstenedione CPT 82157 $2,411.32 $2,411.32 $17.57 – $111.06 33
Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 $968.86 $968.86 $8.76 – $55.51 33
Mayo antithrombin iii antigen CPT 85301 $1,242.33 $1,242.33 $6.49 – $41.31 33
Mayo aspergillus fumigatus antibody CPT 86606 not published not published $9.03 – $56.80 33
Mayo avwpr vw factor activity CPT 85397 $877.15 $877.15 $18.52 – $117.52 33
Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 not published not published $21.05 – $134.29 33
Mayo barbiturates definitive assay confirmation urine CPT 80345 not published not published $0.02 – $91.69 11
Mayo bart bartonella henselae antibody igg CPT 86611 not published not published $6.11 – $38.75 33
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 $1,659.23 $1,659.23 $86.90 – $551.35 33
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 not published not published $128.77 – $817.36 33
Mayo blastomyces antibody immunodiffusion CPT 86612 $551.96 $551.96 $7.74 – $49.05 33
Mayo bnzu sedative hypnotics definitive urine CPT 80368 not published not published $0.02 – $91.69 11
Mayo bordetella pertussis antibody igg CPT 86615 not published not published $7.91 – $50.38 33
Mayo brcmg brucella antibody igm CPT 86622 $455.26 $455.26 $5.36 – $33.57 33
Mayo c1 esterase inhibitor CPT 83883 $1,304.04 $1,304.04 $8.16 – $51.66 33
Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 $883.82 $883.82 $0.02 – $91.69 11
Mayo carnitine total and free quantitative each specimen plasma CPT 82379 $1,322.39 $1,322.39 $10.12 – $64.58 33
Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 not published not published $16.07 – $102.00 33
Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 not published not published $73.33 – $466.16 33

A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.